| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| B4035 |
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
10,191 |
5,674 |
$995K |
| S9342 |
Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
84,002 |
2,472 |
$613K |
| B4034 |
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
4,288 |
2,332 |
$162K |
| B4224 |
Parenteral nutrition administration kit, per day |
1,733 |
320 |
$136K |
| B4088 |
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each |
1,652 |
964 |
$131K |
| B4160 |
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
929 |
482 |
$102K |
| A4305 |
Disposable drug delivery system, flow rate of 50 ml or greater per hour |
1,165 |
314 |
$84K |
| B4161 |
Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
267 |
103 |
$83K |
| A4221 |
Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) |
3,943 |
1,562 |
$54K |
| B4220 |
Parenteral nutrition supply kit; premix, per day |
1,736 |
320 |
$46K |
| S9343 |
Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem |
4,917 |
193 |
$45K |
| 99601 |
|
1,218 |
383 |
$41K |
| A4222 |
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) |
1,226 |
354 |
$41K |
| B4185 |
Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
532 |
61 |
$41K |
| B4152 |
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit |
1,242 |
453 |
$17K |
| B9002 |
Enteral nutrition infusion pump, any type |
342 |
307 |
$13K |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
291 |
169 |
$4K |
| B9998 |
Noc for enteral supplies |
283 |
202 |
$2K |
| 99602 |
Nursing care in home rn |
43 |
12 |
$925.00 |